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HOME > ÇÐȸ°£Ç๰ >
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Epidemiological Survey of Leprosy in Korea |
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Jeon Lew, Min Ckung(À¯ÁØ, Á¤¹Î) |
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Department of Microbiology, Yonsei University College of Medicine |
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1965 |
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The Korean peninsula, attached to the Asian continent, has had a close cultural association for many thousands of years with continental civilizations. Of the history of leprosy in Korea we find some account in classical books and in modern literature on leprosy. But most of these accounts are too incomplete to get any thorough picture. The history of leprosy in China has been traced back to around 2790 B.C. before the age of Confucius; and ever since, certain part of China has been regarded as one of the most heavily endemic foci of leprosy in the world There has been no historical report to prove that leprosy was introduced into Korea from China, even though it is known that there has been a close relationship through cultural and economic trade between the two countries since ancient times. The most reliable records on leprosy in Japan have appeared since 700 A.D., though there were doubtful references to leprosy cases during the mythological age of Japan Leprosy appeared in Korea about 1300 A.D., with rather definite descriptions of it. The endemic foci of leprosy in the 14th century were Cheju Island and the maritime territories This indicates that leprosy became endemic in Korea at least 600 years after it did in Japan That leprosy may have reached the Korean peninsula from Japan and the oceanian islands may be gathered from the following evidences: a) The northern provinces of Korea, Pyung-an, and Ham-kyung, have historically been the path of entry form China to Korea, but there is no evidence that leprosy was ever endemic in either of these provinces-this in spite of the fact that China has been a markedly endemic focus of leprosy from ancient times. B) The earliest endemic area for leprosy in Korea was the southernmost part of Korea, Cheju Island and Kyung-sang Province. These have been the gate-way from Japan and the oceanian islands to the Korean peninsula. C) The earliest description of leprosy in Korea appeared in the literature about 700 years later than it did in Japan. As to the more recent history of leprosy in Korea, an American medical missionary from the Southern Presbyterian Mission, R.M. Wilson in 1909 started a small-scale leprosy home in Kwangju and later moved it to Yosu; this became the present Ae-yang-won leprosarium, where about 1,000 patients are now institutionalized. This is the first pioneer work in the modern medical care of leprosy in the history of Korea. In the same year, 1909, an American missionary, the Rev. C. H. Ervin, set up a leprosy tome in Pusan which was later taken over in 1911 by a British missionary, the Rev J. N. Mackenzie under the auspices of the British Empire Leprosy Relief Association. This is the present Sang-ae-won Leprosarium, where about 1,000 patients are cared. Another American medical missionary, Dr. A. G. Fletcher, established in 1913 a leprosarium :at Tae-gu with the support of the British Empire Leprosy Relief Association. This is the present Ae-rack-won Leprosarium where about 1,000 patients are institutionalized. In 1916, a small-scaled leprosarium was started by Japanese administration. Later in 1932, the facilities were increased, and it grew to be one of the largest leprosaria in the world today. Now it has over 6,000 patients. By the end of World War ¥±, under the Japanese administration about 8,000 patients were institutionalized under the concept of segregation. After World War ¥±, the Korean Leprosy Association was organized in 1947 by enthusiastic volunteers, Lew Joon, Bang Soo-Won and others. The forerunner of this association was the Chosen Leprosy Prevention, Association which was organized during the Japanese occupation but was weak and inactive. With the help of the many enthusiastic volunteers in this new organization, an active, new leprosy campaign was begun. In all, 28 leprosaria and 32 leprosy settlements were established through their activities in cooperation with the government and local people, and now about 28,000 patients are cared for in these national and private institutions. |
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